| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
142 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
59 |
$0.00 |
| 81003 |
|
16 |
16 |
$0.00 |
| 90633 |
|
30 |
30 |
$0.00 |
| 90461 |
|
37 |
37 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
76 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
84 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 85018 |
|
36 |
36 |
$0.00 |